RE: REQUEST FOR REGISTRATION AS AN APPROVED SUPPLIER ON THE SUPPLIER DATABASE OF THE BAKWENA BA MOGOPA TRADITIONAL AUTHORITY

Transcription

1 Equiries: Vallery Kgarodi Divisio: Head Office Tel: (012) RE: REQUEST FOR REGISTRATION AS AN APPROVED SUPPLIER ON THE SUPPLIER DATABASE OF THE BAKWENA BA MOGOPA TRADITIONAL AUTHORITY Prospective suppliers are herewith ivited to register as approved suppliers o the official Supplier Database of the BAKWENA BA MOGOPA TRADITIONAL AUTHORITY (BBMTA). I order to comply with the processes ad procedures set out i the Supply Chai Maagemet Policy; BBMTA developed a Supplier Database to register all suppliers providig goods ad services to the orgaisatio. Preferece will be give to registered suppliers. However, it does ot ecessarily follow that those suppliers which are ot yet registered will be totally exempt from quotig for the supply of goods or services to BBMTA. It is evisaged that the Supplier Database will cotribute to efficiet admiistratio. Attached please fid a official request for registratio, to be completed i full by prospective service providers. It is imperative that suppliers read the registratio form carefully, complete all sectios i full, sig ad date the form. Please ote that a origial ad valid/curret Tax Clearace Certificate must be submitted together with the registratio form. Database registratio forms ca be collected ad submitted at the Traditioal Admiistratio Head Office i Bethaie. Required Documetatio Checklist Please esure that all listed documetatio below is attached (where applicable) to the registratio form. All documetatio is to be provided i its origial format ad/or certified. Please tick submitted documets

2 Documet Name Attached Origial Valid Tax Clearace Certificate / VAT Registratio Certified Copy of Compay Registratio Certificate Compay Profile Certified Copies of Director's ID's Certified Copy of Accreditatio Certifcates Cacelled Cheque / Verificatio Letter of Bak Proof of Owership/Shareholdig Certificate Proof of busiess address Certified copy of your valid B-BBEE Certificate Other (please specify): For office use oly Status: Approved Awaitig Approval Declied Busiess Name Date Received Accepted Date captured Database Registratio Number

3 BBMTA SUPPLIER REGISTRATION FORM 2012/13 IMPORTANT NOTES Please read carefully To be completed by all vedors seekig registratio as a approved supplier; All fields o applicatio form MUST be completed by applicat; Suppliers will be iformed of the outcome ad will be provided with a supplier registratio umber. Supplier must comply with all the registratio-criteria for registratio to be fialised - failure to do so may result i the applicatio beig declied. Please ote that BEE ad Tax clearace Certificates MUST be icluded - failure to do so will result i the applicatio beig declied. Applicatio form must be completed i block letters - illegible documets will ot be processed Supplier Details: Compay / Supplier Name: Compay / Close Corporatio Registratio Number VAT registratio umber (if applicable): Icome tax referece umber: Web Address: Address: Telephoe Number: Fax Number: Toll-Free Number: Number of employees Postal Address(compulsory): Physical Address:

4 Compay/Supplier Classificatio: (Please the relevat box or boxes) Importer Services Maufacturer Black Owed Repairer Distributor Exporter Sales Tax Clearace Certificate (Please the relevat box) Tax Clearace Certificate (Please attach to applicatio form) Attached To Follow Tax clearace expiry date: Supplier Groupig Detail Type of Firm: (Please the relevat box) 1. Public Compay (Ltd) 7. Sole Proprietor 2. Private Compay 8. Foreig Compay (Pty) Ltd 3. Closed Corporatio 9. Partership (cc) 4. Other(specify) 10. Trust 5. Joit Veture 11. Sectio 21 Compay 6. Cosortium Mai cotact perso i your compay: Name: Compay positio: Cell phoe umber: Idetity (ID) umber: address: List all parters, proprietors ad shareholders (Compulsory) Name Positio occupied i the eterprise Citizeship ID umber

5 Note: Where ower are themselves a compay or partership, owers of the holdig firm must be idetified. SMME status of your eterprise: Please use this table to determie the SMME Status of your eterprise Please athe relevat box i each colum Sector B. Full time paid employees Mediu m Very Micro C. Aual Turover (millios) Mediu m Very Micro D. Total Gross asset value (property excluded) (millios) Mediu m Very Micro Agriculture Miig ad Quarryig Maufacturi g Costructio Retail ad Motor trade Wholesale Trade Caterig, Accommodat io

6 Trasport Storage Fiace & Busiess Services Repair/Allied Services Commuicati o s Other Trade Commercial Agets Commuity& Social Services Persoal Services SMME status of your eterprise (Compulsory) (accordig to SMME table above) Please the relevat box Micro Very Medium Large BEE status as per BEE Verificatio certificate B-BBEE Certificate: Cotributig Level Expiry date SBD Goals Iformatio: Skills Empowermet % of turover

7 Huma Resources Upliftmet of Commuities % of turover % of turover HDI Owership Status: Please read otes below very carefully Istructios ad Defiitios: (please read carefully before completig HDI Owership Status) Termiology: Commodities: The commodities the compay wishes to be registered for as a supplier to the BBMTA. Trade Names: The trade ames that the compay ow or distribute, which you wish to be registered for as a supplier to the BBMTA. Owed: Havig all the customary elemets of owership, icludig the right of decisio-makig ad sharig all the risks ad profits commesurate with the degree of owership iterests as demostrated by a examiatio rather tha the form of owership arragemets. Previously Disadvataged Idividuals (PDI): For the purpose of registerig as a supplier for the Departmet, the refutable presumptio shall be made that SA citizes who fall ito populatio groups that had o frachise i atioal electios prior to the itroductio of the 1983 ad 1993 costitutio are Previously Disadvataged Idividuals. It is icumbet o idividuals to demostrate their claims to fall ito such populatio groups o the basis of idetificatio ad associatio with ad recogitio by the members of such a group. Wome: A female perso who is a SA citize. Establishmet of PDI / Wome Equity Owership i a eterprise: Equity owership shall be equated to the percetage of a eterprise which is owed by idividuals, or i the case of a compay, the percetage shares that are owed by idividuals who are actively ivolved i the maagemet ad daily busiess operatios of the eterprise ad exercise cotrol over the eterprise, commesurate with their degree of owership. Where idividuals are ot actively ivolved i the maagemet ad daily busiess operatios ad do ot exercise cotrol over the eterprise commesurate with their degree of owership, equity owership may ot be claimed

8 HDI Owership Status: (failure to complete this sectio will result i the applicatio beig declied) Previously Disadvataged Idividuals (PDI) % Wome Equity (WE) % Disabled Idividuals (DA) % COMMODITIES Please list a maximum of six (6) commodities for which your compay wishes to register with the BBMTA ad idicate oly your core busiess activities. SALES/DISTRIBUTION/WHOLESALES ARTWORK & PAINTINGS CORPORATE GIFTS & PRODUCTS ASSET MANAGEMENT SYSTEMS FIRE EXTINGUISHING AUDIO VISUAL AIDS & EQUIPMENT BADGES CONFERENCE,EMBROIDERED, METAL BAGS CONFERENCE / TRAVEL / PROMOTIONAL CARTRIDGES CATERING EQUIPMENT & EQUIPMENT HIRE CLEANING CHEMICALS CLOSED CIRCUIT TV CLOTHING GENERAL/PROTECTIVE & UNIFORMS COFFEE & VENDING MACHINES COMPUTER CABLING SYSTEMS COMPUTER COMPONENTS COMPUTER CONSUMABLES COMPUTER HARDWARE & PRINTERS COMPUTER SOFTWARE CONFERENCE ACCESSORIES CONFERENCING SYSTEMS BROKERS INSURANCE 2. OTHER SERVICE HOTELS FURNITURE GIFTS PROMOTIONAL LOGO : CROCKERY LOGO : EMBROIDERY SERVICES LOGO : DESIGN SERVICES LOGO : ENGRAVING MEDICAL SUPPLIES OFFICE AUTOMATION EQUIPMENT OFFICE CONSUMABLES OFFICE EQUIPMENT OFFICE FURNITURE REFRIGERATION & AIR CONDITIONING SECURITY & ACCESS CONTROL EQUIPMENT SOUND & MUSIC SYSTEMS/EQUIPMENT STATIONERY OFFICE BASIC

9 CONFERENCE CENTRES & PUBLISHERS FACILITIES FLORISTS RECRUITMENT AGENTS GUESTHOUSE & LODGES 3. GENERAL SERVICES DOCUMENT BINDING SERVICES LABELS & LABELING SERVICES DOCUMENT DUPLICATING PHOTOGRAPHY SERVICE SERVICES DRAIN CLEANING SERVICES PRINTING & DESIGN SERVICES EDITING SERVICES RECYCLING SERVICES ENGRAVING SERVICES & TRANSLATION SERVICES EQUIPMENT GRAPHIC DESIGN SERVICES VEHICLES HIRING ID CARD PERSONALISATION WASTE DISPOSAL SYSTEMS 4. CONSTRUCTION BUILDING CONTRACTORS LOCKSMITHS CABINET MAKERS PAINTING CONTRACTORS CARPENTERS * CARPENTRY PARTITIONING CONTRACTORS CONSTRUCTION CONTRACTORS PAVING CONTRACTORS ELECTRICAL CONTRACTORS PLUMBING CONTRACTORS HARDWARE & BUILDING SUPPLIES ROOFING CONTRACTORS IRRIGATION CONTRACTORS TILING CONTRACTORS LANDSCAPING / EARTHWORKING WATER INSTALLATIONS / RETICULATIONS LIGHTING CONTRACTORS WINDOW FITTINGS & GLASS 5. SERVICES: CONSULTING, TRAINING AND DEVELOPMENT Descriptio D e v e l o p T r a i i g C o s u l t Descriptio AGRICULTURAL ENGINEERS EVALUATION ASSETS BUSINESS MANAGEMENT INSURANCE BUSINESS SKILLS MARKETING & ADVERTISING CHEMICAL ENGINEERS PROMOTIONS & ADVERTISING CIVIL ENGINEERING PUBLIC RELATIONS & SERVICES D e v e l o p T r a i i g C o s u lt

10 COMPUTER LITERARY ELECTRICAL ENGINEERS ENTREPRENURIAL SKILLS WASTE WATER PURIFICATION/SUPPLY/STORAGE 6. OTHER SERVICES NOT LISTED I/we the udersiged ackowledge(s) that: The iformatio furished is true ad correct The Equity Owership claimed is i accordace with the Geeral Coditios Ay coflict of iterest will be declared i the commet space below SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE SIGNATURE OF OWNER OR AUTHORISED REPRESENTATIVE DATE DATE Commets / Notes: